Bernadette Maria Kaleta

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.01578 Issued in IL

Practice address

2211B Lakeside Dr
Bannockburn, IL 60015-1265

Phone

(847) 607-1374

NPI assigned

Nov 26, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1821634759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 N PAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342916",
            "telephone_number": "847-630-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211B LAKESIDE DR",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151265",
            "telephone_number": "847-607-1374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "IL",
            "postal_code": "600933006",
            "country_code": "US",
            "telephone_number": "847-441-7968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALETA",
        "first_name": "BERNADETTE",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.01578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepanjali Jain, MD
• Malgorzata Janczykowska, SLP
• Sabrina Jones, M.D.
• Steven M Julius, PHD
• Laura Lynn Kaeske, DC
• Kalpa Karkera, PT
• Larry Samuel Kaskel, MD
• Howard Michael Katz, M.D.
• Ronit Katznelson, M.D.
• Joshua Michael Kay

• Professional Counselor in Bannockburn, IL
• Providers in Bannockburn, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.